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正常犬在机械通气期间的低频呼吸系统阻力

Low-frequency respiratory system resistance in the normal dog during mechanical ventilation.

作者信息

Sato J, Davey B L, Shardonofsky F, Bates J H

机构信息

Meakins-Christie Laboratories, McGill University, Montreal, Quebec, Canada.

出版信息

J Appl Physiol (1985). 1991 Apr;70(4):1536-43. doi: 10.1152/jappl.1991.70.4.1536.

Abstract

The low-frequency resistances of the respiratory system, lung, and chest wall were investigated in four anesthetized paralyzed dogs mechanically ventilated at various frequencies between 0.08 and 0.83 Hz. The resistances were calculated by three different methods: 1) as the real part of the complex impedance obtained from regular ventilation data, 2) as the effective resistance of a two-compartment model fitted to the same data, and 3) as the resistance of a single-compartment model fitted to data obtained during sinusoidal ventilation at various frequencies. Alveolar pressures were measured by a closed-chest alveolar capsule technique and afforded a direct measure of airways resistance. All three resistance estimates were very similar and decreased markedly with frequency between 0 and 1 Hz. The real part of lung impedance at the higher frequencies investigated (around 5 Hz) closely approximated airways resistance, as predicted by the eight-parameter viscoelastic model of respiratory mechanics proposed by Bates et al. (J. Appl. Physiol. 67:2276-2285, 1989).

摘要

在四只麻醉致瘫的犬中,研究了呼吸系统、肺和胸壁在0.08至0.83赫兹不同频率下机械通气时的低频阻力。阻力通过三种不同方法计算:1)作为从常规通气数据获得的复阻抗的实部;2)作为拟合相同数据的双室模型的有效阻力;3)作为拟合不同频率正弦通气期间获得的数据的单室模型的阻力。肺泡压力通过闭胸肺泡囊技术测量,可直接测量气道阻力。所有三种阻力估计值非常相似,且在0至1赫兹之间随频率显著降低。在所研究的较高频率(约5赫兹)下,肺阻抗的实部与气道阻力非常接近,正如贝茨等人(《应用生理学杂志》67:2276 - 2285,1989年)提出的呼吸力学八参数粘弹性模型所预测的那样。

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